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Abdominoperineal Resection of the Rectum (Miles Resection)

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Multidisciplinary Treatment of Colorectal Cancer

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Abstract

Abdominoperineal resection has represented for almost one hundred years, the “gold standard” in the rectal cancer surgery. Nowadays, the indication for an abdominoperineal resection is limited to the distal rectal cancer, in case of anal sphincter involvement or invasion of the cancer in the levatorian plane, thus no sphincter-preserving surgery is possible anymore (no distal tumoral clearance is possible).

From the technical point of view, an abdominoperineal resection specimen will include the cancerous rectum, along with the distal part of the sigmoid, the anal canal, the mesorectum, the levators and the ischiorectal fat and perianal skin, followed by a definitive stoma formation. For this to be possible, two major ways of approach are necessary: a laparotomy and a perineal incision, which can be made by one or two surgical teams, simultaneously.

Multiple intraoperative or postoperative problems may be raised by this operation, from which the modality of solving the perineal wound and its complications continues to represent a difficult challenge.

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Authors and Affiliations

  1. The 7th Department (Surgical Specialities), University of Medicine and Pharmacy of Craiova, Craiova, Romania

    Ionica Daniel Vilcea PhD & Ion Vasile PhD

Authors
  1. Ionica Daniel Vilcea PhD
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  2. Ion Vasile PhD
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Correspondence to Ionica Daniel Vilcea PhD .

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Editors and Affiliations

  1. Institute of Regional Health Science, University of Southern Denmark, Odense, Denmark

    Gunnar Baatrup

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Vilcea, I.D., Vasile, I. (2015). Abdominoperineal Resection of the Rectum (Miles Resection). In: Baatrup, G. (eds) Multidisciplinary Treatment of Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-06142-9_9

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  • DOI: https://doi.org/10.1007/978-3-319-06142-9_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06141-2

  • Online ISBN: 978-3-319-06142-9

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